School and Childcare Teachers and Administrators COVID-19 ......School and Childcare Teachers and Administrators COVID-19 Toolkit: Version 01-15-2021 • Toolkit Revisions • Kent

School and Childcare Teachers and Administrators COVID-19 Toolkit:

Version 05-14-2021

• Toolkit Revisions

• Kent County Health Department Statement About Masks

• Kent County Health Department Statement About Contact Tracing

• Definitions

• Types of Masks

• Cloth Face Coverings Help Prevent the Spread of COVID-19

• Tips for Helping Children Wear Masks

• CONSEJOS PARA AYUDAR A LOS ESTUDIANTES A USAR MASCARILLAS

• School Health Screening Options

o Daily Paper Screener for Schools Template

• COVID-19 Contact Tracing Spreadsheet for Schools

o Contact Tracing in the School Setting

• Contact Tracing Flowchart

• Guidance from the CDC regarding the need to quarantine following vaccination

• Guidance from the CDC regarding the need to quarantine following testing positive for COVID-19

• Vaccinated Close Contact Protocol

• Contact Tracing in the School Setting Tutorial Video Script

• Who could be a close contact?

• K-12 COVID-19 Symptom and Testing Protocol

• What to Do After Receiving Your COVID-19 Test Results

• Isolation/Quarantine Timeline

• Mental Health Resources for Schools

• Guidance for Band Programs at Education Institutions During COVID-19

• School Drinking Water Guidance and Resources

• How mRNA vaccines work

• Frequently Asked Questions

Toolkit Revisions *This toolkit is a fluid document based on the most current information available. This document is subject to

change and will be updated weekly to reflect revisions.

Change

Number

Description of the change and/or affected

section of Toolkit

Page Title of Update Date

0001 Updated recommendation for quarantine

after new exposure to COVID-19 positive

case.

FAQs: Q18, Q19 07/21/2020

0002 Updated language related to contact tracer

discretion to define close contacts.

Contact Tracing in the School Setting;

School Scenarios with Action Steps;

FAQs: Q7, Q8

07/21/2020

0003 Updated recommendations for isolation

criteria in household setting.

School Scenarios with Actions Steps;

Isolation/Quarantine Timeline; FAQs:

Q3, Q5

07/21/2020

0004 Updated isolation requirements in school,

daycare, or work settings.

FAQs: Q2, Q13 07/21/2020

0005 Updated wording of answer to reflect

student experiencing symptoms, but tests

negative for COVID-19, can return after 24

hours symptom-free.

FAQs: Q10 07/22/2020

0006 Added “Returning to School After Receiving

Your COVID-19 Test Results” Flowchart

New page added: Returning to

School After Receiving Your COVID-

19 Test Results Flowchart

7/29/2020

0007 Added FAQs Added FAQs: Q23-27 7/30/2020

0008 Updated Contact Tracing in School Setting

Flowchart steps

Contact Tracing in School Setting

Flowchart

7/30/2020

0008 Updated language in Recommended Scripts

for School Community to reflect Health

Department vs. School Role for contact

tracing

Recommended Scripts for School

Community

7/30/2020

0009 Added “Types of Masks” page and clear face

mask vs. face shield clarification

Types of Masks 08/05/2020

0010 Added “School Health Screening Assessment

Options” and related information

School Health Screening Assessment

Options

08/05/2020

0011 Added “Who might be a close contact?”

page

Who might be a close contact? 08/05/2020

0012 Added Kent ISD and State of Michigan

Mental Health Resources for Schools

Kent ISD and State of Michigan


08/12/2020

0013 Added “Contact Tracing Spreadsheet for

Schools”

Contact Tracing Spreadsheet for

Schools

08/13/2020

0014 Added “Considerations for Music Education” Considerations for Music Education 08/13/2020

0015 Added “Algorithm for Distinguishing COVID

Symptoms”

Algorithm for Distinguishing COVID

Symptoms

08/20/2020

0016 Added further clarification about screening

tools

School Health Screening Assessment

Options

08/20/2020

0017 Added “Tips for Helping Children Wear

Masks”

Tips for Helping Children Wear Masks 08/20/2020

0018 Revised “Algorithm for Distinguishing COVID

Symptoms”


Symptoms

08/27/2020

0019 Revised “Considerations for Music

Education”

Considerations for Music Education 09/04/2020


Symptoms”


Symptoms

09/10/2020

0021 Added clarification about masks with holes

or that are made of mesh.


0022 Added Mental Health Technology Transfer

Center Network website

Mental Health Resources for Schools 09/10/2020

0023 Revised “Considerations for Music

Education”


0024 Added letter about students remaining at

home while awaiting COVID-19 test

Kent County Health Department

header

09/10/2020


symptoms” and changed title to “K-12

COVID-19 Symptom and Testing Protocol”

K-12 COVID-19 Symptom and

Testing Protocol

09/17/2020

0026 Added FAQ FAQ: 33 09/18/2020

0027 Added a link to a visual guide for face masks

under “Resources.”


0028 Added additional resources for individuals

with autism to wear a mask.

Tips for Helping Students Wear

Masks

09/24/2020

0029 Added FAQ FAQs: 34 09/24/2020

0030 Revised “K-12 COVID-19 Symptom and

Testing Protocol”


Testing Protocol

09/24/2020

0031 See bolded and underlined section for music

class guidance


0032 Revised FAQ 26 due to EO 2020-185 FAQs: 26 10/01/2020

0033 Added FAQs FAQs 35, 36 10/08/2020

0034 Revised screening symptoms to better

match electronic screener language

Daily Paper Screener for Schools

Template

10/08/2020

0035 Revised FAQ 22 FAQs: 22 10/08/2020

0036 MDHHS Update replace Considerations for

Music Education

Guidance for Band Programs at

Education Institutions During COVID-

19

10/15/2020

0037 Revised FAQ to reflect Band Programs at

Education Institutions update

FAQs: 31 10/15/2020

0038 Added mental health resource link

“Headspace”, free for Educators

Mental Health Resources for Schools 10/15/2020

0039 Added Halloween Activity Guidance

Removed Halloween Activity Guidance

CDC Halloween Activity Guidance 10/22/2020

11/05/2020

0040 Added FAQ FAQs: 37 10/28/2020

0041 Added FAQ FAQs: 38 11/12/2020

0042 Revised K-12 COVID-19 Symptom and

Testing Protocol. Edited to 3 pages.


Testing Protocol

11/19/2020

0043 Revised 14-day quarantine to 10-day

quarantine.

All corresponding scenarios in this

document have been updated.

12/03/2020

0044 Added how mRNA vaccines work How mRNA vaccines work 12/17/2020

0045 Added Spanish translation for Tips for

Helping Students Wear masks document.

CONSEJOS PARA AYUDAR A LOS

ESTUDIANTES A USAR MASCARILLAS

01/14/2021

0046 Added quarantine exemption for vaccinated

persons throughout document.



02/11/2021

0047 Added questions related to quarantine

exemption for vaccinated close contacts.

Close Contacts in the School Setting 02/11/2021

0048 Added Vaccinated Close Contacts Protocol School identifies close contacts to a

positive case.

02/18/2021

0049 Added physical distancing variation for K-8th

grade students (3 feet) throughout

document.



02/18/2021

0050 Added Guidance from the CDC regarding

the need to quarantine following vaccination

And the need to quarantine following

testing positive for COVID-19

Guidance from the CDC regarding

the need to quarantine following

vaccination

02/18/2020

0051 Added FAQs FAQs: 39, 40, 41 02/24/2021

0052 Added FAQ FAQ: 42 03/12/2021

0053 Close contact for K-8th students definition

changed

Definitions 03/12/2021

0054 Vaccination Guidance updated throughout

document.



03/25/2021

0055 Quarantine changed from 10 days to 14

days



04/08/2021

056 Quarantine changed from 14 days to 10

days



04/29/2021

057 Schools may allow students to attend school

during their quarantine as long as they are

a) not a part of an outbreak in the school

setting and b) not considered a household

contact.



05/14/2021

KENT COUNTY HEALTH DEPARTMENT 700 FULLER N.E. Adam London, Ph.D., RS, MPA GRAND RAPIDS, MICHIGAN 49503-1918 Administrative Health Officer

PH: 616-632-7100 1-888-515-1300 FAX: 616-632-7083

August 6, 2020 The current science on COVID-19 confirms that the primary way that COVID-19 spreads is through respiratory droplets. Two effective ways to reduce the spread of the virus are masks and social distancing. Based on this science, the Kent County Health Department confirms the following to be true regarding mask use in Kent County schools:

• The Centers for Disease Control (CDC) has confirmed that masks worn over the mouth and nose reduce the quantity of and distance the droplets containing the virus travel. This reduces the potential spread of the virus. 1

• The CDC has confirmed that social distancing of a minimum of 6 feet is effective to reduce the potential spread of the virus.

• Science confirms that children of all ages can spread the virus.

• Young children often cannot or do not practice social distancing.

• The State of Michigan’s MI Safe Schools Return to School Roadmap, published on June 30, 2020, requires school students and personnel to wear masks when on a bus, in hallways and common areas, except when eating or drinking. 2 This document also requires students 6th -12th grade to wear a mask in the classroom.

• The Governor’s executive order, (EO 2020- 153) requires everyone age 5 and older to wear a mask in public. 3 This requirement reflects the best public health science and should be followed broadly.

Whenever they are in school or being transported to and from school all students and school personnel should wear masks to reduce the spread of the virus, unless they are eating or drinking, or are outside in open air and socially distanced from others. If a child cannot wear a mask for medical reasons the parent should consider an alternative to face-to-face education, such as virtual education, to protect their child and others. Adam London, Ph.D. Administrative Health Officer

1 https://www.cdc.gov/media/releases/2020/p0714-americans-to-wear-masks.html 2 https://www.michigan.gov/whitmer/0,9309,7-387-90499_90705---,00.html (p. 22) 3 https://www.michigan.gov/whitmer/0,9309,7-387-90499_90705---,00.html

https://www.michigan.gov/whitmer/0,9309,7-387-90499_90705---,00.htmlhttps://www.michigan.gov/whitmer/0,9309,7-387-90499_90705---,00.html

KENT COUNTY HEALTH DEPARTMENT 700 FULLER N.E. Adam London, Ph.D., RS, MPA GRAND RAPIDS, MICHIGAN 49503-1918 Administrative Health Officer

PH: 616-632-7100 1-888-515-1300 FAX: 616-632-7083

September 10, 2020

To School Administrators:

Contact tracing is an important tool utilized by Kent County Health Department (KCHD) to quickly identify

those who should be quarantined due to exposure to COVID-19. KCHD has a well-trained team of

investigators and contact tracers dedicated to contacting students and school personnel who should

quarantine due to exposure and subsequent risk of infection of the Coronavirus; however, it is often

impossible for these team members to reach the families prior to the following school day. For this reason,

the Kent County Health Department is requesting that schools inform those who are identified as close

contacts that they should not enter the school building or participate in school activities until they hear from

the KCHD. It is the responsibility of the Kent County Health Department to alert students and staff of their

need to quarantine, but it is the responsibility of the school to inform them of the requirement to remain

out of school and to abstain from all school activities while awaiting the call from KCHD.

Thank you for working with Kent County Health Department to protect our schools from the spread of

COVID-19.

Respectfully,

Adam London, Ph.D. Administrative Health Officer

Definitions

Coronavirus: Coronavirus Disease (COVID-19) is an illness caused by a virus that can spread from

person to person. The virus that causes COVID-19 is a new coronavirus that has spread throughout

the world.

Contact Tracing: A strategy for slowing the spread of disease in which public health workers

communicate with infectious people to identify their contacts. They then follow up with those

contacts to provide guidance on how to quarantine themselves and what to do if they develop

symptoms of disease.

Quarantine: The practice of keeping someone who might have been exposed to COVID-19 away

from others. Quarantine helps prevent spread of disease that can occur before a person knows they

are sick or if they are infected with the virus without feeling symptoms. People in quarantine will be

advised to stay home (usually for 10 days), separate themselves from others, monitor their health

for at least 14 days, and follow directions from their state or local health department.

• Staff/students who have a proven COVID-19 positive test in the last 3 months do not have to

quarantine again after a new exposure.

• If a person has been fully vaccinated, and it has been two weeks since their last dose, they

are considered immune indefinitely and do not have to quarantine.

• Schools may allow students to attend school during their quarantine as long as they are a)

not a part of an outbreak in the school setting and b) not considered a household contact.

Isolation: The practice of separating people infected with the virus (those who are sick with COVID-

19 and those with no symptoms) from people who are not infected. People who are in isolation

(usually for 10 days) must stay home until it’s safe for them to be around others. In the home,

anyone sick or infected must separate themselves from others by staying in a specific “sick room” or

area and using a separate bathroom (if available).

Close Contact: Generally, a close contact is a person who was within 6 feet of a person infected

with COVID-19 for more than 15 minutes with or without a mask. In the school setting, school

contact tracers may consider who was within 3 feet of a positive case.

Types of Masks:

Cloth Face

Coverings

Cloth face coverings are masks made from material that are meant to cover

your nose and mouth and to be secured under the chin and are not considered

personal protective equipment (PPE). These are effective in reducing the spread

of the virus. These should be cleaned daily with detergent and water.

Bandanas do not provide the same level of protection as a cloth face mask but

are better than not having any covering at all. They should be permitted when

nothing else is available.

Gaiters do not provide the same level of protection as a cloth face mask. The

evaluation of their effectiveness is ongoing. If you wear a gaiter, it must have

two layers or be folded to make it two layers.

*There may be some instances when cloth face coverings are not feasible and adaptations

to cloth face coverings may need to be considered.

In certain circumstances, a clear face covering that covers the nose and wraps

securely around the face may be worn by certain people in the school setting.

Some examples include:

• Those who interact with students or staff who are deaf or hard of hearing

• Teachers of young students learning to read

• Teachers of students in English as a second language classes

• Teachers of students with disabilities

Clear face coverings are not face shields. CDC does not recommend use of

face shields for everyday activities or as a substitute for masks because of a lack

of evidence of their effectiveness for source control.

Surgical Masks Surgical masks were originally intended to be worn by health professionals and

are considered personal protective equipment. These are effective in reducing

the spread of the virus.

N95 or N95

respirator

A N95 mask, also known as a respirator, filters particles that meet a certain

standard for air filtration, meaning that it filters at least 95% of airborne

particles. These are recommended only for use by healthcare personnel who

need protection from both airborne and fluid hazards (e.g., splashes, sprays).

Additional Resources:

A Visual Guide to Face Masks: What Works, What Doesn’t

Considerations for Wearing Masks

Face Masks in Schools

Adaptations to Face Masks Guidance

How to Select, Wear, and Clean Your Mask

https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/cloth-face-cover-guidance.htmlhttps://www.medscape.com/slideshow/facemask-visual-guide-6013216?nlid=137437_785&src=WNL_mdplsfeat_200922_mscpedit_nurs&uac=264886DJ&spon=24&impID=2581471&faf=1#1https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/cloth-face-cover-guidance.htmlhttps://www.cdc.gov/coronavirus/2019-ncov/community/schools-childcare/cloth-face-cover.htmlhttps://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/cloth-face-cover-guidance.html#feasibility-adaptationshttps://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/about-face-coverings.html

Cloth Face Coverings Prevent the Spread of COVID-19

Stay 6 feet away from others and both wear a mask.

TIPS FOR HELPING STUDENTS WEAR MASKS

COMMUNICATE

Knowing what to expect helps kids of all

ages feel prepared and more at ease. Give

kids time to get used to what’s new. Set

expectations, give support, and answer

their questions to help them feel

comfortable.

PERSONALIZE IT

Allow students to select their cloth face

covering and/or material that is used to

make it. Kids can decorate their masks to

make it their own.

PROVIDE OPTIONS

For students with sensory concerns or

tactile sensitivities, offer a variety of

materials, prints, and textures, and allow

them to choose which face covering is

most comfortable.

EXPLAIN WHY

Use simple words to explain why masks

are important to our health and how they

keep us safe from germs. Focus on the

positive aspects of wearing them.

TEACH ABOUT PROPER USE

By talking to kids and showing them how

to wear masks safely, they are more likely

to properly wear them.

MAKE MASKS COMFORTABLE

Find adaptations such as face mask

extenders or ear savers that can make

wearing a mask more comfortable.

PRACTICE AND PRAISE

As much as you can, give kids time to

practice wearing their masks for longer

periods of time so they are ready for

school. Have your child practice putting on

and taking off their masks by themselves.

Use positive reinforcement to help

encourage them.

MAKE IT FUN

For younger children, you can make it fun

by putting a mask on their favorite stuffed

animal. Play with your children while

wearing masks and pretend you are

superheroes or doctors.

If you need further assistance, seek services from specialists such as behavior analysts or behavioral

psychologists.

RESOURCES:

• CDC How to Wear Masks:

• Social Stories for Young and Old

• Helping Individuals with Autism Wear Face Masks

• Sesame Street Video • American Lung Association: Steps You Can Take to Get Used to Wearing a Mask

• Cloth Face Coverings for Children During COVID-19

• Helping people with autism spectrum disorder manage masks and COVID-19 tests

• A Parent’s Guide

https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/how-to-wear-cloth-face-coverings.htmlhttps://www.autismresourcecentral.org/social-stories-for-young-and-old-on-covid-19/https://www.autismnj.org/article/helping-individuals-with-autism-wear-face-masks/https://www.youtube.com/watch?v=xbKWN37laE4https://www.lung.org/getmedia/7ec2df0b-cb63-49c7-bebd-8928d6c9ec50/wearing-masks-tips-v5.pdfhttps://www.healthychildren.org/English/health-issues/conditions/COVID-19/Pages/Cloth-Face-Coverings-for-Children-During-COVID-19.aspxhttps://www.health.harvard.edu/blog/helping-people-with-autism-spectrum-disorder-manage-masks-and-covid-19-tests-2020061020089https://rwjms.rutgers.edu/boggscenter/Links/documents/ParentGuide-HelpingYourChildWearaFaceMask-F.pdf

CONSEJOS PARA AYUDAR A LOS

ESTUDIANTES A USAR

MASCARILLAS COMUNICAR

Saber qué esperar, ayuda a los niños de todas

las edades a sentirse preparados y más

cómodos. Dé a los niños tiempo para

acostumbrarse a lo nuevo. Fije expectativas,

ofrezca apoyo y responda las preguntas de los

niños para ayudar a que se sientan cómodos.

PERSONALÍCENLAS

Permita que los estudiantes elijan su cubierta

facial de tela o el material que se usa para

hacerla. Los niños pueden decorar sus

mascarillas para hacerlas más suyas.

OFREZCA OPCIONES

En caso de estudiantes con problemas

sensoriales o sensibilidad táctil, ofrezca

materiales, estampados y texturas

diferentes y permítales elegir qué

tapabocas les resulta más cómodo.

EXPLIQUE POR QUÉ

Use palabras sencillas para explicar por qué

las mascarillas son importantes para nuestra

salud y cómo nos protegen de los gérmenes.

Concéntrese en los aspectos positivos de

usarlos.

ENSEÑE LA FORMA ADECUADA DE

USARLAS

Hablar con los niños y mostrarles cómo usar

mascarillas en forma segura hará que sea más

probable que las usen correctamente.

HAGA QUE LAS MASCARILLAS SEAN

CÓMODAS

Busque maneras de adaptarlas, como usar

extensores de mascarillas o protectores de

orejas que hagan que sea más cómodo usar

una mascarilla.

PRÁCTICA Y ELOGIOS

Dé a los niños el mayor tiempo posible para

practicar el uso de sus mascarillas durante

períodos más prolongados, para que estén

listos para usarlas en la escuela. Haga que su

hijo practique cómo ponerse y quitarse la

mascarilla él mismo. Use refuerzos positivos

como ayuda para alentarlos.

HAGA QUE SEA DIVERTIDO

En el caso de los niños más pequeños, puede

hacer que sea más divertido usar la mascarilla

si también le ponen una a su muñeco de

peluche favorito. Juegue con sus hijos

mientras usan mascarillas y simulen ser

superhéroes o médicos.

Si necesita más ayuda, procure obtener servicios de especialistas tales como analistas de conducta o

psicólogos conductuales.

RECURSOS:

• CDC How to Wear Masks (CDC, Cómo usar mascarillas)

• Social Stories for Young and Old (Historias sociales para jóvenes y viejos) • Helping Individuals with Autism Wear Face Masks (Cómo ayudar a personas autistas a usar mascarillas)

• Video de Sesame Street (Plaza Sésamo)

• American Lung Association (Asociación Americana del Pulmón): Steps You Can Take to Get Used to Wearing a Mask (Medidas que puede tomar para acostumbrarse a usar una mascarilla)

• Cloth Face Coverings for Children During COVID-19 (Cubiertas faciales de tela para niños durante el COVID-19)

• Helping people with autism spectrum disorder manage masks and COVID-19 tests (Cómo ayudar a las personas con trastornos del espectro autista a manejar las mascarillas y las pruebas de COVID-19)

• Helping Individuals with Autism Wear Face Masks (Cómo ayudar a personas autistas a usar mascarillas) • A Parent’s Guide (Guía para padres)

https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/how-to-wear-cloth-face-coverings.htmlhttps://www.autismresourcecentral.org/social-stories-for-young-and-old-on-covid-19/https://www.autismnj.org/article/helping-individuals-with-autism-wear-face-masks/https://www.youtube.com/watch?v=xbKWN37laE4https://www.lung.org/getmedia/7ec2df0b-cb63-49c7-bebd-8928d6c9ec50/wearing-masks-tips-v5.pdfhttps://www.lung.org/getmedia/7ec2df0b-cb63-49c7-bebd-8928d6c9ec50/wearing-masks-tips-v5.pdfhttps://www.lung.org/getmedia/7ec2df0b-cb63-49c7-bebd-8928d6c9ec50/wearing-masks-tips-v5.pdfhttps://www.healthychildren.org/English/health-issues/conditions/COVID-19/Pages/Cloth-Face-Coverings-for-Children-During-COVID-19.aspxhttps://www.healthychildren.org/English/health-issues/conditions/COVID-19/Pages/Cloth-Face-Coverings-for-Children-During-COVID-19.aspxhttps://www.healthychildren.org/English/health-issues/conditions/COVID-19/Pages/Cloth-Face-Coverings-for-Children-During-COVID-19.aspxhttps://www.health.harvard.edu/blog/helping-people-with-autism-spectrum-disorder-manage-masks-and-covid-19-tests-2020061020089https://www.health.harvard.edu/blog/helping-people-with-autism-spectrum-disorder-manage-masks-and-covid-19-tests-2020061020089https://www.health.harvard.edu/blog/helping-people-with-autism-spectrum-disorder-manage-masks-and-covid-19-tests-2020061020089https://www.autismnj.org/article/helping-individuals-with-autism-wear-face-masks/https://rwjms.rutgers.edu/boggscenter/Links/documents/ParentGuide-HelpingYourChildWearaFaceMask-F.pdf

12

School Health Screening Assessment Options For the health and safety of school communities, the Health Department requires school personnel and

students to be screened for symptoms of COVID-19 before entering their school.

Schools may use any one of these options or have all three options available for their families. If none of

these options meet the need of the school, they can seek a different tool and have it reviewed by the

Health Department.

Schools that wish to take advantage of the Health Department’s Electronic Tool to assist with student/staff

screening should reach out as soon as possible to Steve Lane at [email protected].

Types of Screenings

1. Electronic Tool to Assist with Student/Staff Screening (Patient Education Genius)

(PEG)

• Before leaving for school, parents/ guardians will receive a text and complete the virtual

screening for their student(s) via an online portal.

• The information collected will be sent to the school, the District, and KCHD.

• HIPAA Compliance offered by KCHD.

Who is responsible? Pros Cons

Parent/Guardian Free to Kent County schools

provided by KCHD.

This portal will provide

customizable articles/messages for

parents/students during the COVID-

19 pandemic.

Puts responsibility on

parents/guardians to complete

screening, reduces burden on

schools.

Allows many students to be

screened all at once and faster entry

into the building.

Data is available to KCHD so

Contact Tracing can be streamlined

with the shared data. It also

provides reporting capabilities to

the school including who did or did

not fill out the screening tool.

Technology may not be

available to all families to

participate in this screening.

Parents/guardians may forget

to screen before dropping

student off at school or prior to

them getting on the bus.

mailto:[email protected]

13

2. Paper Form Screening (See next page for template.)

• This type of screening would be completed at home and need to be brought to school.

• A parent/guardian will fill out a paper form and the student (depending on their age) will

turn in the screening questionnaire.


Parent/Guardian Allows for school to know student

passed/fail screening in real time.

Student/staff will have arrived at

the school in the building and

may fail screening.

3. In-person Screening

• This screening would take place either outside the school building or in a room towards the

front of the building to avoid sick students and staff from exposing others.

• Consent to screening is acquired through a paper form.


School personnel Allows for screener to visually

inspect staff/student for symptoms.

Student/staff will have arrived at

the school in the building and

may fail screening.

Time consuming.

Requires staff trainings and

personal protective equipment

and could possibly expose

screener to COVID+

staff/students.

Could lead to lines outside of

the school due to many people

being checked in all at once.

The parent/guardian must

provide consent for the school

to take the child’s temperature.

Some school districts prefer to have parents and staff sign a one-time agreement at the beginning of

the school year stating that they will not send their child to school if they have certain symptoms. The

Kent County Health Department acknowledges that this meets the requirement as stated in the

Return to School Roadmap, page 24. Since this is not a robust prevention method, schools that utilize

this as their screening protocol will need to be diligent to monitor for symptoms during the school

day. Additionally, schools are encouraged to send periodic reminders to parents to maintain

adherence to the in-home screening.

14

Name of Child / Staff member: Date:

Symptom Check: Does student/ staff member have ANY one of the following symptoms listed below?

[] YES [] NO, do not have any symptoms.

• Temperature 100.4 degrees Fahrenheit or higher OR feels warm to touch OR feels feverish or

has chills []

• New cough or change in cough for a child who often has a cough []

• Shortness of breath []

• Loss of taste or smell []

• Sore throat []

• Body aches []

• Nausea or vomiting or diarrhea []

• Severe headache []

• Extreme Tiredness []

• Congestion/Runny nose []

Pending Test Result Check: Is the student/staff member awaiting a pending COVID-19 test result?

[] YES [] NO

Close Contact Check: Has the student/staff member had close contact with a person who has been

confirmed to have COVID-19?

[] YES [] NO

If the student/ staff member has answered YES to any of the questions above, the student/ staff

member cannot attend school today.

15

COVID-19 Contact Tracing Spreadsheet for Schools

The role of schools is to work with the Kent County Health Department and identify those who

are close contacts within the school. Ideally within 24 hours of being notified, the school should

complete the Contact Tracing Spreadsheet for Schools as thoroughly as possible. This

spreadsheet is a fillable document. Once it is complete, the designated contact tracer from each

school should complete the spreadsheet and send to [email protected]

as an attachment.

For every new positive case, a new form should be filled out. Once the health department

receives this document, the students or staff that are named on the document will be contacted

and advised to quarantine. As of May 7, 2021, students may continue attending school during

their quarantine as as long as they are a) not a part of an outbreak in the school setting and b)

not considered a household contact.

Contact Tracing in the School Setting

Helpful questions to consider when identifying close contacts in the school setting:

• Who is the staff/student near (less than 3ft) throughout the day?

o Who is the student near (less than 6ft) during activities such as choir or band

class, lunch, physical education, or sports?

• Has there been adequate physical distancing in classrooms, breakrooms, and

lunchrooms?

• Are there any others at the school that live with the staff/student, or carpool with them?

• Have any of the close contacts to the positive case been fully vaccinated?

Other considerations for schools when there is more than one positive case identified (to

look for patterns/areas of concern):

• Did the school already know staff/student had been identified as a close/household

contact of someone who was positive for COVID-19?

• Is there one location/classroom in the school that seems to be more affected?

• Is there something else in common with positive cases?


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School Contact Tracing Flowchart

The KCHD alerts all identified close

contacts of COVID-19 exposure

who are in the school community

and those not associated with the

school.

A student or school personnel tests positive for COVID-19.

School alerts Kent County Health Department (KCHD) about COVID-19 positive

case. Call 616-326-0060 to report.

School interviews the COVID-19 positive

person to identify close contacts within

the school and completes the Contact

Tracing Spreadsheet for Schools.

School reports close contacts by completing

and submitting the COVID-19 Contact Tracing

Spreadsheet for Schools form to the Kent

County Health Department at

[email protected].

The KCHD begins contact tracing

for related cases outside of the

school community.

All identified close contacts of the COVID-19

positive case will be advised to quarantine at

home for 10 days from last positive day of

exposure. Close contacts must also monitor

for symptoms for at least 14 days.

Schools may allow students to attend school

during their quarantine as long as they are a)

not a part of an outbreak in the school

setting and b) not considered a household

contact.

• Staff/students who have a

proven COVID-19 positive test

in the last 3 months do not have

to quarantine again after a new

exposure.

• If a person has been fully

vaccinated, and it has been two

weeks since their last dose, they

are considered immune

indefinitely and do not have to

quarantine.


17

Guidance from the CDC regarding the need to quarantine following vaccination:

Per the CDC guidance, if a person has been fully vaccinated against COVID-19 and two weeks

has passed since their last dose, they are considered immune indefinitely. If they are identified

as a close contact to a person who is COVID-19 positive, they do not have to quarantine. A more

in depth explanation is attached, or can be found here: https://www.cdc.gov/vaccines/covid-

19/info-by-product/clinical-considerations.html

How will this new guidance impact contact tracing reporting from the schools?

It is very likely that a staff person or teacher will meet the above criteria and therefore will not be

required to quarantine if they are a close contact to a COVID-19 positive person. The schools will

have two options regarding how to determine who meets the criteria:

• The school can communicate with the staff person that they have been identified as a

close contact and then allow that person to self-report that they meet the exemption

because of their vaccination status. Schools should then ask to see their vaccination

cards to verify that is has been two weeks since their last dose.

• The school can maintain a list of their school personnel who have been vaccinated and

the dates of their vaccines. Then if a person is a close contact and it has been two weeks

since their last dose, they would not be reported as a close contact and would not have

to quarantine.

When preparing the spreadsheet to submit to the Health Department, schools should not

include the names of people who are exempt from the quarantine requirement due to

vaccination status.

Guidance from the CDC regarding the need to quarantine following testing

positive for COVID-19:

Per the CDC guidance, if a person has tested positive for COVID-19 they are considered immune

for ninety days. If they are identified as a close contact to a person who is COVID-19 positive,

they do not have to quarantine. A more in depth explanation is attached, or can be found here:

https://www.cdc.gov/coronavirus/2019-ncov/hcp/duration-isolation.html

https://www.cdc.gov/coronavirus/2019-ncov/if-you-are-sick/quarantine.html

How will this new guidance impact contact tracing reporting from the schools?

When preparing the spreadsheet to submit to the Health Department, schools should not

include the names of people who are exempt from the quarantine requirement due to having

tested positive within the last 90 days. (90 days from the onset of symptoms)

https://www.cdc.gov/vaccines/covid-19/info-by-product/clinical-considerations.htmlhttps://www.cdc.gov/vaccines/covid-19/info-by-product/clinical-considerations.htmlhttps://www.cdc.gov/coronavirus/2019-ncov/hcp/duration-isolation.htmlhttps://www.cdc.gov/coronavirus/2019-ncov/if-you-are-sick/quarantine.html

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Contact Tracing in the School Setting Video Tutorial Script

Slide 1: Contact Tracing in the School Setting

Slide 2: This is a brief introduction on how schools can assist the Kent County Health

Department (KCHD) in preventing the spread of COVID-19 in our community.

Slide 3: What happens when students or school staff test positive for COVID-19?

Slide 4: The school will alert the KCHD by calling the COVID-19 school phone line to report the

positive case. Call 616-326-0060 to report.

Slide 5: The school will begin to interview either the person with COVID-19, parents, or

guardians, and/or staff related to the case to identify close contacts within the context of the

school.

Slide 6: Close contacts are students or staff in the school setting who were within 3 feet of a

COVID positive person for 15 minutes or more.

School contact tracers should also consider who the student was near (within 6 feet) during

activities such as choir or band class, physical education, lunch, or sports.

Slide 7: An exposure does not have to be 15 consecutive minutes. Multiple shorter exposures

that add up to 15 minutes also qualify a person as a close contact.

Slide 8: Contact tracers should also consider the age of the students and whether they were able

to maintain social distance. A person who has been coughed or sneezed on by a person who is

COVID positive is also considered a close contact.

Slide 9: Contact tracers in the school should identify all people in the school who were close

contacts with the person who was COVID positive starting from 48 hours prior to the onset of

symptoms or from a positive test.

Slide 10: Some examples of close contacts in the school setting: Classmates, Lunchmates,

Teammates, Playmates, Carpools, Riding the bus together

Any other gatherings with peers, such as in office spaces or bathrooms could lead to someone

being a close contact.

Slide 11: The school will fill out the Contact Tracing Spreadsheet for Schools based on the

information from the contact tracing interview. The form can be found on the KCHD website.

Slide 12: The school will submit the form as an attachment to the KCHD COVID School e-mail.

Slide 13: Students or staff who qualify as close contacts should be told by the school as soon as

possible. Schools may allow students to attend school during their quarantine as long as they

are a) not a part of an outbreak in the school setting and b) not considered a household contact.

https://www.accesskent.com/Health/CommDisease/pdfs/StudentOrPersonnelTestsPositiveForCovid.mp4https://www.accesskent.com/Health/CommDisease/school_daycare.htmmailto:[email protected]

19

Slide 14: There are some exemptions to having to quarantine related to vaccinations after an

exposure to a positive case including:

• If a person has tested positive for COVID-19 they are considered immune for ninety days.

• If a person has been fully vaccinated, and it has been two weeks since their last dose, they are

considered immune and are exempt of the requirement to quarantine indefinitely.

Slide 15: The KCHD will alert all identified close contacts of COVID-19 exposure as soon as

possible, ideally within 24 hours of receiving the spreadsheet from the schools.

Slide 16: The school is responsible for ensuring that student or staff who are sick with COVID-19

do not attend school during their isolation period which will be a minimum of 10 days since the

onset of their symptoms. This will help keep healthy students who attend school safe.

Slide 17: All identified close contacts of the person who is sick with COVID-19 will be advised to

quarantine at home for 10 days from their last possible day of exposure and monitor for

symptoms.

Slide 18: Those in quarantine will be advised to stay home. This includes staying home and not

attending any in-person class time, extracurricular activities, or group projects after the school

day.

Slide 19: Student or staff who need to isolate or quarantine will be informed by the Health

Department when their isolation or quarantine period is complete. A negative COVID test is not

required to return to school.

Slide 20: Thank you.

It may be hard to make decisions about who is a close contact in the school setting. If you are

unsure about a certain situation, call the Health Department school line for assistance at 616-

326-0060. Thank you for helping keep our community safe.

20

Who might be considered a close contact?

Schools may allow students to attend school during their quarantine as long as they are not a) a part of an outbreak in

the school setting and b) not considered a household contact.

Classmates

Classmates who carpool, ride

the bus together, or are in

class within 3 feet of

someone with COVID-19 for

15 +minutes or more.

Lunch Mates

When someone who eats

lunch within 6 feet of


15+ minutes.

This is a higher risk time as

face coverings cannot be

worn.

Play Mates

Playmates on the playground

or in the gym within 3 feet of


15+ minutes.

Teammates

Sports teammates within 6

feet of someone with COVID-

19 for 15+ minutes.

Opposing Teammates

Opposing teammates in

sporting events that shared

time on the field or court and

were within 6 feet of


15+ minutes.

Other Classmates

Any others that had

interactions with someone

who had COVID-19 lasting

over 15 minutes in confined

areas such as bathrooms,

office room, where

distancing of 3 feet is

difficult.

Entire Classrooms

If the contagious individual is

a teacher and was frequently

less than 3 feet from

students while teaching, the

entire class may need to

quarantine.

Public health authorities may

determine that distances

other than 3 feet or less than

15 minutes can still result in

high-risk exposures based on

other considerations and

circumstances in each case.

Others

Any other person outside of

the school community that

had similar exposure to a

contagious individual is

considered a close contact.

21

K-12 COVID-19 Symptom and Testing Protocol

STUDENTS/STAFF with symptoms that are concerning for COVID-19

STUDENT/STAFF screens positive for a concerning symptom on screener or develops concerning

symptoms at school AND has no known exposure to someone with COVID-19 in the past 10 days.

HEALTHCARE EVALUATION IS INDICATED

Household members should stay home until test results or

healthcare evaluation results are back. School contacts may

continue attending school.

CLEAR ALTERNATIVE DIAGNOSIS (e.g. positive strep test, urinary infection)

Can return to school after 24 hours of resolution of

fever and improvement in symptoms with note from

healthcare provider

Healthy household members may continue working,

going to school, or childcare.

If student/staff has the following symptoms concerning

for COVID-19, healthcare evaluation is needed:

Any TWO of the following:

• Fever (measured or subjective) • Chills • Headache • Extreme Tiredness/Fatigue • Sore Throat • Congestion or Runny nose • Body aches • Nausea/vomiting or Diarrhea

OR

ONE of the following:

• New cough • Loss of taste or smell • Shortness of breath

NO CLEAR ALTERNATIVE DIAGNOSIS

COVID-19 TESTING INDICATED Student/staff stays home until results are back

Household members stay home until results are back. Schools contacts may continue attending school until results are back

NEGATIVE MOLECULAR/PCR TEST: Stay home until

fever free for 24 hours without using fever-reducing

medicines, and symptoms improving.

Healthy household members may continue working,

going to school or childcare

POSITIVE TEST: Isolate for at least 10 days, until fever

free for 24 hours without using fever-reducing

medicines, and symptoms improving. A negative test is

NOT needed to return to school.

Household members must quarantine at home while

the positive student is in isolation AND for 10 days

after last exposure to student with COVID-19 or

cleared by the health department. School contacts

must quarantine.

TESTING NOT DONE: Assume the student/staff is

positive and isolate for at least 10 days, symptoms

improving and fever free for 24 hours

Household members must quarantine at home while the

positive student is in isolation AND for 10 days from last

exposure to student with COVID-19 or cleared by the health

department. School contacts may continue attending school.

22

STUDENTS/STAFF with symptoms that are NOT as concerning for COVID-19

STUDENT/STAFF has symptoms that are NOT as concerning for COVID-19 or has only ONE of the symptoms on the

list below AND has no known exposure to someone with COVID-19 in the past 10 days:

HAS THE STUDENT/STAFF BEEN AROUND ANYONE WHO HAS BEEN SICK IN

THE PAST 10 DAYS?

YES COVID-19 testing recommended

NO COVID-19 testing not necessary but recommended

If testing is done, student/staff stays home until results are back. Healthy

household members may continue working, going to school or childcare

NEGATIVE TEST

Stay home until fever free

for 24 hours and

student/staff improving

Healthy household members

may continue working,

going to school or childcare

POSITIVE PCR TEST

Isolate for at least 10 days

A negative test is NOT needed to

return to school

Household members must

quarantine at home while the

positive student is in isolation AND

for 10 days after last exposure to

student with COVID-19 or cleared by

the health department. School

contacts must quarantine for 10 days.

IF TESTING IS NOT DONE

Stay home until fever free for 24

hours and symptoms are improving.

*If symptoms do not improve in 2

days, contact a healthcare provider

and have testing for COVID-19

Healthy household members may

continue working, going to school or

childcare

23

Students/Staff who have known exposure to a person with confirmed COVID-19

Stay home for 10 days after last exposure until cleared by the health department Consider COVID-19 testing. Must complete 10 days of quarantine EVEN if test is negative

STUDENT/STAFF EXPOSED TO SOMEONE WITH COVID-19

IN THE HOUSEHOLD

STUDENT/STAFF EXPOSED TO SOMEONE WITH COVID-19

OUTSIDE OF THE HOUSEHOLD

and identified as a close contact by the health

department

Stay home while the family member is in isolation AND

for 10 days after last exposure. Monitor for 14 days until

after exposure.

Stay home for 10 days after last exposure. Monitor for

symptoms for 14 days after exposure All household members must also stay home while the family member is in isolation AND for 10 days after last

exposure to household member with COVID-19 All household members, if they were NOT exposed to the person with confirmed COVID-19, may continue

attending school as long as the person who was exposed

remains healthy

COVID-19 TESTING INDICATED IF STUDENT/STAFF DEVELOPS SYMPTOMS

DURING THE 10 DAYS AFTER EXPOSURE

If symptoms meet concerning criteria,

isolation is required until test results are

back

All household members and other close

contacts must stay home until test results

are back

If symptoms do not meet concerning

criteria, testing is still indicated

All household members and close contacts

may continue attending work, school, and

childcare until test results are back

POSITIVE PCR TEST OR TEST NOT DONE Isolate for 10 days

All household members and other close

contacts must stay home in quarantine.

They must be home while the positive

person is in isolation AND 14 days after

exposure to the person.

NEGATIVE TEST Complete 14 days of quarantine

All household members and close

contacts may continue attending work,

school, and childcare

A negative COVID-19 test does not mean that someone who is a close contact can end

quarantine early.

STUDENT/STAFF HAS NO SYMPTOMS BUT IS TESTED

DURING 10 DAYS AFTER EXPOSURE

24

What to Do After Receiving Your COVID-19 Test Results

Stay home in isolation.

You no longer need to

isolate after 10 days

from time of positive

test result.

If symptoms

develop, see box

under YES.

Positive Results

Do you have symptoms?

Fever or chills

Cough

Shortness of breath or difficulty breathing

Fatigue

Muscle or body aches

Headache

New loss of taste or smell

Sore throat

Congestion or runny nose

Nausea or vomiting

Diarrhea

YES

Stay home in isolation.


isolate after 10 days

from the onset of

symptoms AND

at least 24 hours of no

fever without the use

of fever-reducing

medications AND

symptoms have

significantly improved.

NO


stay home after you

are feeling better and

have been fever-free

for 24 hours.

*If you receive inconclusive results, please

consult with your medical provider.

The KCHD will call all those who test

positive for contact tracing whether they

have symptoms or not.

You have been tested for COVID-19 and received your test results.

I am not considered a

close contact, but I was

tested for another

reason.

Negative Results

I am considered a close

contact of someone with

COVID-19.

If you are required to

quarantine due to an

exposure to a COVID-

19 positive person,

then negative test

results DO NOT

change the need to

quarantine.

Close contacts must

quarantine for 10 days

since last day of

possible exposure.

If you test positive for COVID-19, consult with your regular medical provider for details about your specific case. Some students

may not be able to return to school, sports, or other physical activities due to the severity of their COVID-19 infection.

Schools may allow students

to attend school during their

quarantine as long as they

are a) not a part of an

outbreak in the school setting

and b) not considered a

household contact.

Isolation and Quarantine Timeline

A household

member tests

positive for

COVID-19.

RETURN TO WORK, SCHOOL, DAYCARE

ISOLATION PERIOD

The sick household member

must remain in isolation for

10 days since symptoms

first appeared and 24 hours

with no fever (without the

use of fever-reducing

medications) and other

symptoms have improved.

Household member that tested

positive can return to work, school,

or daycare.

People who live in the same

household as the person

who tested positive must

quarantine at home.

QUARANTINE PERIOD

Stay home 24/7 and monitor for

symptoms for 10 days since last

possible exposure. (The last possible

exposure is when the sick family

member’s isolation period ended.)

If the household members of the

person who tested positive for

COVID-19 do not develop

symptoms, they can return to

work, school, or daycare upon

completing quarantine.

Household members cannot attend work, daycare, or school during the other household member’s isolation (10 days) and must continue

their quarantine for 10 days after COVID-19 positive person’s isolation period is complete. If the quarantined household member DOES

develop symptoms, they cannot return until 10 days since first symptoms appeared AND 24 hours being fever-free AND other symptoms have

improved. Isolation and quarantine periods start over any time a new household member becomes sick with COVID-19.

Everyone should assume exposure to COVID-19 and monitor for symptoms. Call your doctor if symptoms develop.

STAY HOME

26


Mental Health Screening Recommendation

FREE Headspace Subscription for Educators

• Hundreds of guided meditations on everything from stress and focus to the

workplace.

• Sleepcasts, sleep sounds, and sleep music to help create the conditions for a better

night’s rest.

• Inspiring videos, quick workouts, group meditations, and much more.

Kent ISD MI Safe Schools Roadmap Mental & Social-Emotional Health

Companion Document

This document was created by the Kent ISD mental health internal and external partners. It is

intended to align to the MI Safe Schools Roadmap and gives guidance, recommendations,

and resources for district re-entry planning.

Throughout this document, items and activities in Phases 1-3 are strongly recommended

while schools are closed for in-person instruction. Activities in Phase 4 are strongly

recommended before schools reopen for hybrid or in-person instruction, and items in Phase 5

are recommended before school reopens for in-person instruction.

Sections within document:

• Classroom Community Building (Tier I)

• Mental Health Universal Screening

• Data Analysis and Student Referral Process

• Crisis Management Planning

• Professional Development

• Mental Health Universal Screening

• Community Wellness Resources

• Universal Support for Staff Wellness

• Additional Re-entry Research and Resources

State of Michigan Mental Health Webpage and Support Documents

Best Practices In Universal Social, Emotional and Behavioral Screening, An

Implementation Guide

School Mental Health Screening Playbook

31n Team Vendor Resources:

The state 31n team collaborated with each of the vendors to support your efforts to increase

student mental health outcomes, and you can use your 31n funds to partner with them should

you choose to do so. Note: 31n(12) funds can be used for costs associated with initiation and

training on these resources, and 31(6) funds can be used for the platform/service. Please see

the attached summaries for information on each option. Let your 31n consultant know if you

have any questions about any of these resources, or feel free to reach out to the vendors

directly.

Class Catalyst is available for Tier 1 and offers virtual student check-in which could be a pre-

cursor for screening students who may need extra support.

https://documentcloud.adobe.com/link/review?uri=urn:aaid:scds:US:07df8d20-935b-4b64-b7c2-cf4c70d5d235#pageNum=1https://www.headspace.com/educators?fbclid=IwAR0Z1TTNwbvRfRUCJtPS8Xai7DkjcHWAioE3T0We_BDwxdhOkzv87_Rao18https://docs.google.com/document/d/13yqejkpBwYE6BT_EBlOaOF6aL5sXnBhJCvQp77hVLMw/edithttps://docs.google.com/document/d/13yqejkpBwYE6BT_EBlOaOF6aL5sXnBhJCvQp77hVLMw/edithttps://www.michigan.gov/mde/0,4615,7-140-74638-199286--,00.htmlhttps://smhcollaborative.org/wp-content/uploads/2019/11/universalscreening.pdfhttps://smhcollaborative.org/wp-content/uploads/2019/11/universalscreening.pdfhttps://www.azahcccs.gov/AHCCCS/Downloads/Initiatives/BehavioralHealthServices/Helios/Tucson_09252019/ToolkitResource/School-Mental-Health-Screening-Playbook.pdf

27

Trusst is available for Tier 2 (&/or Tier 3) and is a text messaging platform for therapists and

students to use for mental health service provision (could be helpful in areas where WIFI is

limited or for students who need privacy to discuss mental health concerns when zoom or

phone calls could be prohibitive).

BH-Works is a browser-based platform for universal screening, intake process management,

referral, and care coordination, and much more.

Macomb ISD mental health resources

Other resources:

• Podcasts about crisis and re-entry by the clinical director of STARR commonwealth

• Planning for the next normal at school, Kaiser Permanente Ideas and Tools for working

with Parents and Families, Collaborative for Academic, Social, and Emotional Learning

(CASEL)

• Advancing Comprehensive School Mental Health Systems: Guidance from the Field,

National Center for School Mental Health COVID-19, National Center for School

Mental Health

• University of Maryland School of Medicine COVID-19: Family and Educator Resources,

National Association of School Psychologists Coronavirus Disease 2019 Resources,

National Association of School Nurses

• Responding to School Mental Health, Mental Health Technology Transfer Center

Network

https://www.misd.net/Mental-Health-Resources/https://soundcloud.com/starr-commonwealth/dr-caelan-soma-crisis-response-and-reintegration?utm_medium=email&_hsenc=p2ANqtz-_tzYA7DSw4y-Co2HYAHLLX0xcX7Hv7MvWxyfcXoLSsCTR-4tImtGIeELCRt_IoDCMsHGOO_qp3Bp2CuDp8TMX9l5nASg&_hsmi=88693286&utm_content=88693881&utm_source=hs_email&hsCtaTrhttps://thrivingschools.kaiserpermanente.org/wp-content/uploads/2020/07/523127584_PNN-for-School-Playbook-COVID_SCM_EW_2020_Plybk_R3d_TP_ADA.pdfhttps://thrivingschools.kaiserpermanente.org/wp-content/uploads/2020/07/523127584_PNN-for-School-Playbook-COVID_SCM_EW_2020_Plybk_R3d_TP_ADA.pdfhttps://thrivingschools.kaiserpermanente.org/wp-content/uploads/2020/07/523127584_PNN-for-School-Playbook-COVID_SCM_EW_2020_Plybk_R3d_TP_ADA.pdfhttp://www.schoolmentalhealth.org/Resources/Foundations-of-School-Mental-Health/Advancing-Comprehensive-School-Mental-Health-Systems--Guidance-from-the-Field/http://www.schoolmentalhealth.org/Resources/Foundations-of-School-Mental-Health/Advancing-Comprehensive-School-Mental-Health-Systems--Guidance-from-the-Field/http://www.schoolmentalhealth.org/Resources/Foundations-of-School-Mental-Health/Advancing-Comprehensive-School-Mental-Health-Systems--Guidance-from-the-Field/http://www.schoolmentalhealth.org/COVID-19/http://www.schoolmentalhealth.org/COVID-19/http://www.schoolmentalhealth.org/COVID-19/https://mhttcnetwork.org/sites/default/files/2020-07/B2S%20Toolkit%20-%20Print%20Ready3.pdfhttps://mhttcnetwork.org/sites/default/files/2020-07/B2S%20Toolkit%20-%20Print%20Ready3.pdf

28

Guidance for Band Programs at Education Institutions

During COVID-19

Is it safe for my child(ren) to return to music class?

COVID-19 transmission risks are dependent on numerous factors. Factors can include the level

of COVID-19 activity at the school or community and whether students are appropriately

screened for illness. Risk is minimized when there have been no sick persons at the school and

all students are appropriately screened for illness prior to entry.

The risk of exposure may be increased in any setting where people are in an enclosed space,

especially if they are singing or playing wind instruments. However, there are some strategies

which can decrease the risks of exposure. These strategies include social distancing, frequent

hand washing or sanitizing with at least 60% alcohol hand rub and staying home when sick.

What measures can be done to promote health and safety in music classes?

● Students in music classes should always wear cloth face coverings and socially distance.

● Students should be placed facing the same direction with a distance of at least 6 x 6 feet

between each child. Practices may need to be held remotely or broken into sections to achieve

proper social distancing.

● All music stands, chairs, and other frequently touched surfaces should be disinfected between

classes.

● Classes should be held outdoors whenever possible. If classes must be held indoors then

occupancy should be decreased and spacing should be increased as much as possible (12 feet

of spacing is better than 6 feet for example).

Is there specific guidance for band classes or other wind instrument

practices/performances?

● Wind and brass instruments should not be shared between students. String instruments and

percussive instruments (no mouth contact) may be shared if they are disinfected between

students.

● Slit masks are permitted only while students are playing wind or brass instruments. When

instruments are not being played, students should wear appropriate cloth face coverings.

● When possible, instruments should be fitted with bell covers consisting of a minimum of two

layers of dense fabric. Bell covers should be made of a non-stretchy material with a MERV-13

rating (Minimum Efficiency Reporting Value).

What are some ways to improve ventilation for music classes that are being held indoors?

If indoor practice is unavoidable, ventilation should be improved in the following ways:

● Doors and windows should be opened unless this poses a safety or health risks (e.g. risk of

falling or triggering asthma).

● Fans can be used to increase circulation by placing in or near windows and doors if they do

not induce potentially contaminated airflow over students or staff. Strategic fan placement in

exhaust mode can help draw fresh air into the room via open windows and doors without

generating strong room air currents.

● Ensure that ventilation systems are functioning and maintain air quality for the room’s

29

occupancy level. Air filters can be inspected to ensure they are operating within service life and

are properly fitted.

● Consider running the HVAC system at maximum outside airflow for 2 hours before and after

the school is occupied. Portable high-efficiency particulate air (HEPA) fan/filtration systems may

be used to enhance air cleaning.

What precautions are necessary for students in choir or other vocal performance

settings?

● Vocal performances should be conducted with cloth face coverings on and the maximum

possible distancing.

● Aerosol rates increase while singing and masks cannot contain 100% of aerosols projected

from the mouth and nose. Six feet of distance is the minimum recommendation, and 12 feet is

preferred when possible.

● Vocal performances are much safer outside, but if they must be conducted indoors, see some

of the strategies above to maximize ventilation.

What other health measures can be taken by my child(ren) to stay healthy?

● Students should frequently wash or sanitize their hands and use good respiratory etiquette

(cough into a tissue or elbow of sleeve).

● Students should partake in daily disinfection of their instrument and surroundings (i.e., music

stand, chair).

● It is critical that face coverings are used the entire time during class. A face covering must fit

securely around the mouth and nose.

Should my child(ren) wear a face shield?

Face shields do not offer the same level of protection as a cloth face covering. They may be

worn in addition to cloth face coverings.

How can instruments be made safer to play?

All instruments should be thoroughly disinfected before and after use. Click here for a list of EPA

approved disinfectants. Check with the instrument’s manufacturer to determine which

disinfectants won’t tarnish or corrode the instrument.

● For wind instruments, bell covers should be used to prevent infectious air from escaping the

instrument. They should be cleaned in accordance with the requirements for cloth face

coverings. Even with bell covers, instrumental performances should be conducted outdoors

whenever possible, with distancing of at least 6 feet. The covers should be made of instrument

multilayer MERV 13 type material.

● Spit valves should be emptied away from others into an absorbent, disposable material that

can be discarded. Hand hygiene is very important after disposing of this material.

What if my child(ren) become sick?

Immediately notify the school that your child(ren) has developed symptoms. Do not send the

child(ren) back to school until your local health department or healthcare provider is consulted

https://www.epa.gov/pesticide-registration/list-n-disinfectants-coronavirus-covid-19

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School Drinking Water Guidance and Resources

For Parents

For School Administrators and Managers

Flushing Guidance Memo to Schools During Executive Order 2020-35

Guidance on Flushing Your School Plumbing System Before Resuming Class:

Information concerning the risks of water stagnation and where to find more

information to help maintain the quality of drinking water within your facilities.

For more guidance documents, lead testing information and videos, please visit,

https://www.michigan.gov/egle/0,9429,7-135-3313_3675_3691-474608--,00.html

https://www.michigan.gov/documents/egle/egle-tou-dwehd-SchoolDW-ParentFAQs_693192_7.pdfhttps://www.michigan.gov/documents/egle/egle-dwehd-flushing_guidance_memo_to_schools_during_executive_order_2020-35_688586_7.pdfhttps://www.michigan.gov/documents/egle/egle-dwehd-flushing_guidance_information_to_schools_688589_7.pdfhttps://www.michigan.gov/egle/0,9429,7-135-3313_3675_3691-474608--,00.html

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How mRNA vaccines work Every virus is different.

The virus that causes COVID-19 is called SARS-CoV-2.

Meet SARS-CoV-2

mRNA

All viruses have a unique genetic code. Scientists take part of the SARS-CoV-2 virus’s code, called messenger RNA (mRNA), which tells our cells what to build, and coat them in a lipid so they can enter the body’s cell.

This is injected into the patient.

SARS-CoV-2 Virus

The spike protein

Antibodies

T-Cells

CREATE The mRNA tells the cells to make

a specific part of the SARS-CoV-2

virus: the spike protein.

LEARN The immune system then produces

antibodies and activates T-cells to

destroy the spike proteins.

PROTECT If you are exposed to the virus in

the future, your immune system

will quickly recognize the spike

protein and has the antibodies and

T-cells ready to begin destroying

the virus.

The Benefit of Getting Vaccinated The virus that causes COVID-19 replicates quickly. Without the vaccine, your body has to identify the

virus, learn how to fight it and carry out an immune response. In the meantime, the virus can replicate

to a level beyond what your immune system can handle — which means you feel sick. With the vaccine,

your body can more quickly identify the virus and skip straight to starting its immune response.

mRNA technology isn’t new. mRNA vaccines are a product of decades of study on RNA therapies and treatment by medical scientists.

mRNA therapies are being used to develop personalized cancer treatments, as well as vaccines for infectious

diseases such as Zika virus. Researchers are also exploring whether mRNA treatments can be used as

protein-replacement therapies for rare conditions such as the blood-clotting disorder haemophilia.

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Frequently Asked Questions

1. What is the difference between isolation and quarantine?

Isolation is for people who are COVID positive. It separates people who are infected with the

virus from people who are not infected. It usually lasts 10 days.

https://www.cdc.gov/coronavirus/2019-ncov/if-you-are-sick/isolation.html

Quarantine is for people who are well but are exposed to someone who is COVID positive. It

keeps someone who might have been infected with the virus away from others. It lasts 10 days

since the last possible exposure. Close contacts should also monitor for COVID-19-related

symptoms for 14 days after an exposure.


2. How long must a teacher or staff person be out of school if they test positive for

COVID-19?

A teacher or staff person that tests positive for COVID-19 should isolate at home. The teacher or

staff person may return to school after 24 hours with no fever and respiratory symptoms have

improved (e.g. cough, shortness of breath) and at least 10 days have passed since symptoms

first appeared.

https://www.cdc.gov/coronavirus/2019-ncov/if-you-are-sick/end-home-isolation.html

3. How long must a student, teacher or staff person be out of school if they have a family

member in the same house as them that tests positive for COVID-19?

A student, teacher, or staff person that lives in the same house as someone who tests positive

for COVID-19 must remain out of school the entire time the family member is in isolation

(typically 10 days) plus 10 additional days of quarantine. The total time out of school would be

at least 24 days.



4. If a person tests positive but does not have symptoms, can they work from home?

Yes, if the school has a system in place for working from home this is encouraged. An employee

with mild symptoms should be able to work from home as well.

5. If a teacher, staff member, or student has a household member that tests positive but

does not have symptoms, can they come to work anyway and monitor for symptoms?

No, asymptomatic people who test positive can still spread the virus. School personnel or

students that are considered close contacts to a COVID-19 positive household member must

quarantine during the household member's isolation period and 10 days after the isolation

period ends.



https://www.cdc.gov/coronavirus/2019-ncov/if-you-are-sick/isolation.htmlhttps://www.cdc.gov/coronavirus/2019-ncov/if-you-are-sick/quarantine.htmlhttps://www.cdc.gov/coronavirus/2019-ncov/if-you-are-sick/end-home-isolation.htmlhttps://www.cdc.gov/coronavirus/2019-ncov/if-you-are-sick/quarantine.htmlhttps://www.cdc.gov/coronavirus/2019-ncov/if-you-are-sick/end-home-isolation.htmlhttps://www.cdc.gov/coronavirus/2019-ncov/if-you-are-sick/quarantine.htmlhttps://www.cdc.gov/coronavirus/2019-ncov/if-you-are-sick/end-home-isolation.html

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6. Must we close a classroom if a person with COVID-19 attended class in that classroom?

If so, for how long?

Yes, the classroom should be closed, cleaned, and disinfected. It is recommended to close off

the area for at least 24 hours and then clean the classroom. This allows any virus in the air to

settle on surfaces. If that is not feasible, wait as long as possible and then clean and disinfect the

classroom following CDC guidance.

https://www.cdc.gov/coronavirus/2019-ncov/community/disinfecting-building-facility.html

7. If a teacher or staff person was in a classroom full of children, and that teacher later

finds out that they have COVID-19 while they were in the classroom, must all the class be

quarantined, or only those children who were within 3 feet of the teacher for 15 minutes

or more?

Generally, the entire class will be advised to quarantine and monitor for COVID-19-related

symptoms, especially among younger children.

It will be up to the discretion of the contact tracer to decide who is considered close contacts in

a classroom setting. Contact tracers will consider age of students, length of exposure, social

distancing, and other circumstances during time of exposure. Those who are identified as close

contacts will be advised to quarantine (not leave the house unless necessary) for 10 days from

last time of known exposure. Close contacts must monitor for symptoms for 14 days after an

exposure.

Schools may allow students to attend school during their quarantine as long as they are a) not a

part of an outbreak in the school setting and b) not considered a household contact.

8. If the teacher was wearing a cloth mask in the classroom, and that teacher later finds

out that they have COVID-19 while they were in the classroom, do the children still have

to be quarantined?

The fact that the teacher was wearing a mask does not change that close contacts will be

advised to quarantine. However, as of May 7, 2021, schools may allow students to attend school

during their quarantine as long as they are a) not a part of an outbreak in the school setting and

b) not considered a household contact.

9. Does a sibling of a child in quarantine have to be quarantined?

No, if the sibling was not a direct contact of a person who tested positive for COVID-19, then

they should monitor for symptoms and can continue attending school.

10. If a student has an illness that is not COVID-19, like a cold, does that child still have to

be out of school until they are 24 hours fever free?

If the student is experiencing any COVID-19-related symptoms, they might have COVID-19 and

they should not attend school. They should contact their regular medical provider and get

tested for COVID-19.

https://www.cdc.gov/coronavirus/2019-ncov/community/disinfecting-building-facility.html

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If the student does not have COVID-19 but is still experiencing cold or flu-like symptoms, then

they can return to school after they are feeling better and have been fever-free for 24 hours.

https://www.cdc.gov/coronavirus/2019-ncov/if-you-are-sick/steps-when-sick.html

11. Does the school have to inform the families of students when a child is excluded from

school because of COVID-19, or does the Health Department do that?

The school is responsible for doing contact tracing within the school setting. The Health

Department will do the contact tracing outside of the school setting and advise all close

contacts to quarantine.

12. How many children must be sick with COVID-19 before a school closes?

The Health Department will work closely with School Administration recognizing there are many

factors to be considered when closing a school.

13. Does a teacher, staff person, or student have to retest for COVID-19 after testing

positive before they are allowed back to school?

No, the teacher, staff person or student who tested positive can return to school after 24 hours

with no fever and other symptoms have improved and 10 days have passed since symptoms first

appeared.

The Health Department does not recommend a retest. Sometimes a person will continue to test

positive even though they are no longer infectious.

14. How can we know when a person is no longer infectious?

The general timeline is 10 days since symptoms first appeared. If the person is asymptomatic, it

is 10 days since they tested positive.

15. If a student changes classes and is with many different students during the day rather

than just one classroom of students, and that student tests positive, do all those students

have to quarantine?

It will be up to the discretion of the contact tracer to decide who is considered close contacts in

a classroom setting. Contact tracers will consider age of students, length of exposure, social

distancing, and other circumstances during time of exposure. Those who are identified as close

contacts will be advised to quarantine (not leave the house unless necessary) for 10 days from

last time of known exposure. Schools may allow students to attend school during their

quarantine as long as they are a) not a part of an outbreak in the school setting and b) not

considered a household contact.

16. Should all students get tested for COVID-19 prior to starting school?

No, the COVID-19 test only indicates the presence of the virus the moment the test is taken.

https://www.cdc.gov/coronavirus/2019-ncov/if-you-are-sick/steps-when-sick.html

35

17. If a student, teacher, or other school personnel are told they are a close contact of a

positive case, can they take a COVID-19 test, and if negative be released from quarantine?

No, a person can become COVID-19 positive any time during quarantine (the 10 days after the

exposure). No number of COVID-19 negative tests exempt a person from quarantine.



18. Should students get an antibody test to prove that they have already had COVID-19

and thus do not need to quarantine if they are exposed again?

No, students do not need to get an antibody test. Students who have a proven COVID-19

positive test in the last 3 months do not have to quarantine again after a new exposure.

https://www.cdc.gov/coronavirus/2019-ncov/hcp/duration-isolation.html ‘

19. If a student or teacher already had a proven case of COVID-19 and then has an

exposure in school, do they have to quarantine anyway?

No, students or teachers with proven cases of COVID-19 will not need to quarantine if the

positive test was within the last 3 months of the new exposure.

https://www.cdc.gov/coronavirus/2019-ncov/hcp/duration-isolation.html



20. Does the school have to tell families which child tested positive for COVID-19? Isn’t

that a violation of HIPAA?

The identity of the child or school personnel should be protected as much as possible. Close

contacts will be contacted by the Health Department and only given information related to their

exposure. The name of the COVID-19 student or school personnel will be shared on a need to

know basis only.

21.Will children who are at the highest risk for complications, such as children with severe

respiratory problems, be required to stay out of the school classroom until this pandemic

is over?

The decision to send a child to school or not will be made jointly by the parent and school with

guidance from the child’s medical provider.

22. What if a staff member/student travels domestically or internationally?

There are no current restrictions for staff members or students who travel domestically or

internationally. However, it would be advisable that anyone travelling to areas of the United

States or the world that have high rates of COVID-19 consider a 10-day quarantine upon return.

This is a link to a map which is updated regularly to show COVID hotspots around the world.

•COVID Risk Levels Dashboard, Brown School of Public Health

https://www.cdc.gov/coronavirus/2019-ncov/hcp/duration-isolation.htmlhttps://www.cdc.gov/coronavirus/2019-ncov/hcp/duration-isolation.htmlhttps://globalepidemics.org/key-metrics-for-covid-suppression/

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23. Are face shields acceptable alternatives to masks?

No, the CDC does not recommend the use of face shields as a substitute for clothing face

coverings. However, a face shield that covers the eyes, nose and mouth can be worn in addition

to a cloth mask if desired. Moreover, a face shield may be worn by younger children who are not

required to wear a cloth face mask.

24. If a building is K-8 or 5-6, or otherwise serves students in grades PK-5 and 6 and

higher, can the school choose to do strict cohorting and therefore not require facial

coverings for student?

No.

25. Does the Governor’s Executive Order No. 2020-153 apply to schools?

No, schools are not considered public spaces.

26. How should masks be stored when they are not in use?

Due to EO No. 2020-185, masks are required for all students in grades kindergarten and up

while in their classrooms.

27. What does the Health Department recommend for the cleaning of desks in between

class periods?

As required in the Michigan 2020-21 Return to School Roadmap, student desks must be wiped

down after each class period (page 27 of Michigan 2020-21 Return to School Roadmap).

If the students are older (middle school and up) we recommend that the students themselves

wipe down their desk using an EPA-approved agent and follow the labeled instructions. If the

instructions do not require the use of gloves, then no gloves should be required. Each student

can have one towel or wipe, do the wipe down, and throw the wipe or towel out on their way

out of the room. With smaller children, an adult would have to rapidly do the cleaning in

between classes.

28. Are there special considerations for center-based students regarding mask

requirements?

Yes, the decision of whether a student at a center-based school will be required to wear a mask

will be made by the students’ physician, family and school personnel.

29. What should bus drivers do if wearing a mask causes their glasses to fog up?

Bus drivers should wear a mask anytime a student is getting on or off the bus. Once the

students are seated and the driver begins to drive the bus dri